新人999抑郁应该如何治疗配图，仅供参考
2. Treatment for DysthymiaThe best treatment for dysthymia appears to be a combination of psychotherapy and medication. The positive clinical response to medications like selective serotonin reuptake inhibitors (SSRIs),serotonin norepinephrine reuptake inhibitors (SNRIs),and tricyclic antidepressants (TCAs) suggests that serotoninergic and noradrenergic systems involve the mechanism of dysthymia. A systematic review of antidepressant treatment for dysthymia suggests that SSRIs,TCAs,and monoamine oxidase inhibitors are all equally effective,but SSRIs may be slightly better tolerated. Success has also been reported with more noradrenergic agents,such as mirtazapine,nefazodone,venlafaxine,duloxetine,and bupropion. Second-generation antipsychotics showed beneficial effects compared to placebo for major depressive disorder or dysthymia,but most second-generation antipsychotics have shown worse tolerability,mainly due to sedation,weight gain,or laboratory data abnormalities such as prolactin increase. Some evidence indicated beneficial effects of low-dose amisulpride for dysthymic people .
Psychotherapy and medication are both effective treatment modalities for dysthymia and their use in combination is common. There are many different types of psychotherapy,including cognitive behavioral therapy,psychodynamic,and insight-oriented or interpersonal psychotherapy,which are available to help persons with dysthymia. Cognitive Behavioral Analysis System of Psychotherapy (CBASP) has been attracting more attention for the treatment of chronic depression. CBASP is a form of psychotherapy that was specifically developed for patients with chronic depression. Its core procedure is called “situational analysis” and is a highly structured technique that teaches chronically depressed patients how to handle problematic interpersonal encounters. It encourages patients to focus on the consequences of their behavior and to use a social problem-solving algorithm to address interpersonal difficulties. CBASP is more structured and directive than interpersonal psychotherapy and differs from cognitive therapy by focusing primarily on interpersonal interactions,including interactions with therapists. Through this psychotherapy,patients come to recognize how their cognitive and behavioral patterns produce and perpetuate interpersonal problems and learn how to remedy maladaptive patterns of interpersonal behavior. The combination of medication and psychotherapy may be much more effective than either one alone .","department":"
